Navigating Breast Cancer Patients By: Jennifer Campos RN, BSN, OCN, CBPN-IC
Navigation began…. . In 1990 by Dr. Harold P Freeman in Harlem. Why? Because of obstacles faced in accessing care: Financial barriers (lack of insurance, underinsured) Logistic barriers (lack of transportation, living far from healthcare providers, lack of follow-up care, lack of understandable cancer information. Sociocultural barriers (limited support, unable to understand information).
Patient Population Referred from: Family physicians, Obgyn, surgeons, urgent care centers, NP’s, area outreach (Amarillo Area of Breast Health Coalition) Ages from 24 to late 90 s. Women and men
Great Efforts for Detection What do we do when Breast Cancer is diagnosed? ? ?
Once Diagnosed Obtain medical history and family history Additional diagnostic tests evaluated Referrals made: Medical Oncologist Radiation Oncologist Surgeon Cardiologist (at times)
Demands on the Healthcare System Timely information Treatments Available resources Better communication Emotional support
Bridge Community Partner We serve to be “supportive guides” We hold their hands Encourage their steps At times we wipe their tears
Navigation Purpose Break through the barriers. Identify individual needs Reduce delays in accessing care Comprehensive assessment (mental, medical, and social) Provide-support and education Advocate Provide community resources Address survivorship - there is life after cancer. Coordinator
Navigation is to Close the Gap “What is my purpose? ” Not to redirect care Reduce fear and anxiety with education Gain trust by being truthful Address the elephant in the room “death” Allow any emotion Comfort with time, touch, and eye contact.
Breaking Through Barriers Listen without judgment (brainstorm out loud) Encourage them to stay involved Never give false hope Truth with compassion Give them hope (medical advancement)
Our Area’s Breakthroughs Women Events Wise Women Hablando Walmart Pink Event. Hereford County Extention – Health fairs Additional Fundings for detection: CPRIT Grant Komen BCCS Small local hospital contribution
Reach out further Medical Assistance: Hospital/clinic payment plans Co-pay assistance Drug assistance oncology. RX (oral and IV chemo therapies) Drug companies Foundations Panhandle Cancer Cure Foundation 211 League House ACS Living Beyond Cancer
Future By 2015 patient navigation will become the standard of care for all cancer programs accredited by the Commission on Cancer (Co. C) –Swanson, Jay. Oncology Issues. “Growing a Navigation Program”. July-August 2012.
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